Provider Demographics
NPI:1912334491
Name:BAUMGARTEN, HARRY EMANUEL (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:EMANUEL
Last Name:BAUMGARTEN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 KATONAH AVE
Mailing Address - Street 2:WEINSTEIN PHARMACY
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536
Mailing Address - Country:US
Mailing Address - Phone:914-232-5166
Mailing Address - Fax:914-232-2036
Practice Address - Street 1:101 KATONAH AVE
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536
Practice Address - Country:US
Practice Address - Phone:914-232-5166
Practice Address - Fax:914-232-2036
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist